Beverdam Family Medicine, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101230106 Issued in VA

Legal business name

BEVERDAM FAMILY MEDICINE, LTD

Practice address

16151A Trainham Road
Beaverdam, VA 23015-1301

Phone

(804) 449-1717

Fax

(804) 449-1710

NPI assigned

Mar 30, 2010

Last updated

Mar 30, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

BEVERDAM FAMILY MEDICINE, LTDAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Candace G Bittner

Title

Cfo

Phone

(804) 449-1717

Specialties & licenses 1

Addresses

Part of

Beverdam Family Medicine LTD

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1821313115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16151A TRAINHAM ROAD",
            "city": "BEAVERDAM",
            "state": "VA",
            "postal_code": "23015",
            "telephone_number": "804-449-1717",
            "fax_number": "804-449-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151A TRAINHAM ROAD",
            "city": "BEAVERDAM",
            "state": "VA",
            "postal_code": "230151301",
            "telephone_number": "804-449-1717",
            "fax_number": "804-449-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERDAM FAMILY MEDICINE, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEVERDAM FAMILY MEDICINE, LTD",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "BITTNER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "804-449-1717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101230106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beaverdam Apothecary
• Brighter Solutions Medical Transport
• James Carrigan, L.C.S.W.
• Delvonta D Cooper
• William Anthony Droppleman, RPH
• Debra Eastman

• Family Medicine Physician in Beaverdam, VA
• Providers in Beaverdam, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.